Provider Demographics
NPI:1538615919
Name:MACHOL, LINDA JOYCE (MS, LAC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:JOYCE
Last Name:MACHOL
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5994 S HOLLY ST
Mailing Address - Street 2:#236
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4221
Mailing Address - Country:US
Mailing Address - Phone:720-299-8278
Mailing Address - Fax:
Practice Address - Street 1:6081 S QUEBEC ST
Practice Address - Street 2:SUITE 202
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4536
Practice Address - Country:US
Practice Address - Phone:720-299-8278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO-1422171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist